Business Analyst

4 weeks ago

Philadelphia, United States Blue Cross and Blue Shield Association Full time

Our organization is looking for dynamic individuals who love to learn, thrive on innovation, and are open to exploring new ways to achieve our goals. If this describes you, we want to speak with you. You can help us achieve our vision to lead nationally in innovating equitable whole-person health.

At Independence, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. We stand together to speak out against injustice and to break down barriers to support a more inclusive and equitable workplace. Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.

Position summary:

The Clinical Enablement and Support Business Analyst is responsible for assisting with the implementation of new programs and initiatives where Utilization Management or Case and Condition Management is a primary or impacted stakeholder, and with the day-to-day support and maintenance activities as required. This includes analysis of business/system processes and recommendation of potential solutions; assisting with the identification and preliminary development of business requirements; assisting with executing system configuration set-up; assisting with development and execution of user acceptance testing; development of and training on operating procedures, and execution of post-production check-out for the core clinical services applications and their key interfaces and integration points.

The business analyst collaborates with departmental senior business analysts, business unit management and key personnel internal and external to Facilitated Health Networks on the development and enhancement of systems, processes, and ongoing support needed for these new programs and initiatives to ensure they meet the needs of Utilization Management, Case and Condition Management, various lines of business, specific accounts and other stakeholder areas.

Responsibilities include, but are not limited to:

* Participates in complex projects assigned by management.
* Assesses business/system needs, initiates preliminary business requirements, and assists with implementation of appropriate solutions.
* Evaluates business processes by tracking, trending and analyzing work processes.
* Investigates, researches and trouble-shoots issues, identifies root causes and recommends solutions to senior analyst and/or management
* Performs daily production support activities as needed.
* Assists with the preparation and execution of user acceptance test plans and scripts and performs results review of the same.
* Develops operating procedures/manuals; updates as needed
* May assist in training staff or works with trainers to assure new procedures are implemented with minimal work interruptions
* Develops and maintain problem logs, which are associated with any automated processing systems. Coordinate the resolution of all problems reported with vendors and BTS as needed
* Coordinate reporting needs and specifications with BTS.
* Perform data validation and quality audits for automated systems as required.
* Perform other related duties as assigned

Experience with Cincom Authoring preferred

Hybrid

Independence has implemented a "Hybrid" model which consists of Associates working in the office 3 days a week (Tuesday, Wednesday & Thursday) and remotely 2 days a week (Monday & Friday). This role is designated as a role that fits into the "Hybrid" model. While associates may work remotely on our designated remote days, the work must be performed in the Tri-State Area of Delaware, New Jersey or Pennsylvania.

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